A 37-year-old woman who is 17 weeks pregnant has had an ...

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A 37-year-old woman who is 17 weeks pregnant has had an amniocentesis. Before discharge, the nurse teaches the woman to call her doctor if she experiences which of the following side effects?
 
  a. Pain at the puncture site
  b. Macular rash on the abdomen
  c. Decrease in urinary output
  d. Cramping of the uterus

Question 2

The clinic nurse meets with Rebecca, a 30-year-old woman who is experiencing her first pregnancy. Rebecca's quadruple marker screen result is positive at 17 weeks' gestation. The nurse explains that Rebecca needs a referral to:
 
  a. A genetics counselor/specialist
  b. An obstetrician
  c. A gynecologist
  d. A social worker

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Answer to Question 1

ANS: d
Feedback
a. It is normal for the patient to experience pain at the puncture site.
b. A rash is not an expected complication.
c. Oliguria is not an expected complication.
d. The woman should report any uterine cramping. Although rare, amniocentesis could stimulate preterm labor.

Answer to Question 2

ANS: a
Feedback
a. All women should be offered screening with maternal serum markers. The Triple Marker screen and the Quadruple Marker screen test for the presence of alpha-fetoprotein (AFP), estradiol, human chorionic gonadotropin (hCG), and other markers. These tests screen for potential neural tube defects, Down syndrome, and Trisomy 18. If the screen is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.
b. If genetic screening is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.
c. If genetic screening is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.
d. If genetic screening is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.

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Excellent

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TYSM